SearchLouisiana363LF0000X

Champ Phuphanich, FNP

NPI 1023765427 · on the registry since 2022

Practice

Address
305 E 1st St
Thibodaux, LA 70301
Phone
(985) 228-6028
Organisation at this address
Bayoumd Urgent Healthcare Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Additional practice sites

  • 1990 Industrial Blvd, Houma, LA

Registry record

Primary taxonomy
363LF0000X
363LF0000X
Licence states on file
LA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-04-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana